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Searching: healthy gum
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Message Board
Views: 138 | Replies: 0
: Huge improvement mesial and furcation area. She said that her gums swelled up again about 2 weeks ago for a couple of days then went back down, but near last tooth (referring to #18). Her gums are perfectly healthy today. Tooth #18 slightly tender to percussion, #19 completely asymptomatic. Also, distal root of #19 grabbed my attention... did I miss a second distal canal somewhere? Can anyone notice healing in distal too?
April 23, 2015
Endodontics -- The ENDO Files
Message Board
Views: 884 | Replies: 33
to very little damage. this clamping of the gums... does it work well for difficult to clamp second molars as well (like ones that are partially erupted)? Do you put the clamp on the tooth on the palatal, then on the gums on the buccal? Or just gums? A healthy gingival purchase.....I generally
November 02, 2015
Endodontics -- The ENDO Files
Message Board
Views: 149 | Replies: 4
Healthy 28 year old female in for checkup. After having not seen this patient for two years she suddenly has a large asymptomaticlesion on radiograph of #29. Only reported concern is that her retainer is not fitting and she does have a small ulcer on buffalo mucosa adjacent to tooth. Retainer
November 16, 2017
Endodontics -- The ENDO Files
Message Board
Views: 338 | Replies: 9
Hey guys, Had this ptn walk in today. Had pain over the weekend but states pain felt like it was in her gums. Not having any pain today. Clinical exam reveals very small parulis present on buccal gingiva of #3. PA reveals RL in furcation area of #3. No pain on biting or percussion
May 20, 2014
Endodontics -- The ENDO Files
Message Board
Views: 570 | Replies: 22
Found on routine pa. Tooth #8 (1.1) The patient is asymptomatic. Tooth is vital. The patient's only comment was he thought the gums were bleeding more there. ( I was able to discern the answer on this one and will wait on this poll though) External...If Peter is posting this, it has
December 13, 2016
Endodontics -- The ENDO Files
Message Board
Views: 142 | Replies: 3
hello, I m not sure if this is endo related or just perio related or both. 13yrs old male patient concerns with his gum appearance. no other symptom just thick and rolled. he doesn't remember when it started looking like this. it doesn't bother him other than appearance. Pocket depth
November 05, 2019
Endodontics -- The ENDO Files
Message Board
Views: 611 | Replies: 28
Pbc off at gum level, no coronal tissue.<br/><br/>Who would XLA who would RCT etc?I don't see a better option than what you did here.XLA and bridge off the canine? Thought about that but then you open up more possibility of needing endo and post on the canine. Is that any better
July 18, 2014
Endodontics -- The ENDO Files
Message Board
Views: 689 | Replies: 8
I treated this healthy 19 year old patient with no known allergy.<br/>Patient had gross decay on #20 with pain and came in for RCT.<br/>I used 1 carp of septo and 2 carps of lido for local anesthesia. Did infiltration, around the papilla, and intralpulpal during clean and shaping. <
April 19, 2016
Endodontics -- The ENDO Files
Message Board
Views: 487 | Replies: 12
that you should replace the resto before proceeding with cleaning and shapingAnother vote for access first and extend only was needed. Likely no need to completely unroof the chamber to access the mesial canals and can save alot of dentin in the process. Caries direct access to help keep healthy tooth
October 15, 2019
Endodontics -- The ENDO Files
Message Board
Views: 718 | Replies: 32
, not diapedesis. Anachoresis is probably more theoretical than what usually happens. The reality is that bacteria are everywhere. They are probably in most people's dentinal tubules to some degree. It's even been shown that there is bacterial DNA inside the healthy pulps of non-carious teeth. It's just
February 26, 2020
Endodontics -- The ENDO Files
Message Board
Views: 114 | Replies: 2
and about a week after the S/RP's, the patient came in for a TA exam saying he felt pain on the gum lingual to #9. I probed the lingual and the mid-lingual gum area had a 4mm pocket and pus was coming out of it. I scaled the lingual of the tooth a bit more and felt something scratchy on the back
August 08, 2019
Endodontics -- The ENDO Files
Message Board
Views: 417 | Replies: 13
on the bone line and receeding gum line, the position of this resorptive deffect is just below the gum line. This is typical of ECIR 2- The canal is clearly visible, and the borders of the lesion are also visible, seperate from the borders of the canals, also typical of ECIR. As for prognosis, a CBCT
September 02, 2017
Endodontics -- The ENDO Files
Message Board
Views: 874 | Replies: 25
. Keep us up to dateMike: For such cases, consider the PET technique. It really works very well. Makes life simple and increases the prognosis by a lot as it allows for the creation of great ferrule by exposing healthy tooth structure to hang on to without the need for flap approach surgery. Care
March 05, 2015
Endodontics -- The ENDO Files
Message Board
Views: 444 | Replies: 15
, and often no simple answers on DT, even to seemingly benign topics. Does the AAE have a position paper on the use of fragrance chain stores on the treatment of tooth infections of endodontic origins? Parulis, anyone?I kind of like Gum Boil. Very visually descriptive, clear and concise..there's
November 24, 2015
Endodontics -- The ENDO Files
Message Board
Views: 618 | Replies: 17
assume you know that this tooth has two canals. EdAbout a year ago I did endo through a similar bridge anterior abutment. Actually in this case there are two anterior abutments. The other day he came in with the bridge off and one anterior abutment broken to the gum line. We tx planned
March 10, 2014
Endodontics -- The ENDO Files
Message Board
Views: 254 | Replies: 6
. Gently slide down, allowing the clamp to hug the tooth until you've gone all the way down to the CEJ portion of the tooth (where it won't slide around). Of course, the patient's gums should be numb for this part. In some instances, the patient doesn't have to be numb, and will just feel a little
April 02, 2015
Endodontics -- The ENDO Files
Message Board
Views: 398 | Replies: 6
it opened, that pain was in the gums and that the pain was really severe but was very non specific and had a hard time explaining. Attached the radiograph. When looking in the mouth some very moderate gum recession and the buccals of the teeth very painful to explorer where the recession had occurred
April 23, 2014
Endodontics -- The ENDO Files
Message Board
Views: 146 | Replies: 5
Hi all, Wanted to get some additional opinions on this case regarding #25. Patient's CC was sore gums behind #25, which she has been experiencing for a few weeks. All mand anteriors were neg to percussion and palpation and everything responded normal to endo ice. Probing depths on #25 were wnl
May 25, 2020
Endodontics -- The ENDO Files
Message Board
Views: 197 | Replies: 6
Pt is being treated for sarcoidosis in lungs and nose. Any chance this lesion is not coming from #9 or #10 and is actually a manifestation of sarc? Lesion can be palpated on buccal and palatal. Pt also reports that she has felt lumps on her gums draining in the past. I think this is pulpal
December 04, 2014
Endodontics -- The ENDO Files
Message Board
Views: 3153 | Replies: 50
...there are obviously a lot of people in the world with gum disease and people that need endo. often have it...just a little gum disease is all it takes...which means there is no crestal lamina dura...if there is no crestal lamina dura, you can penetrate that bone with a short skinny needle...like
July 02, 2018
Endodontics -- The ENDO Files
Message Board
Views: 151 | Replies: 2
I often have patient who is missing 2nd molar, have bone loss and gum recession on distal side of 1st molar, cementum exposed, and have sensitivity. I am not sure if it's related to root exposure or not but I think it is based on number of patient I saw with the same presentation and complaints
April 25, 2016
Endodontics -- The ENDO Files
Message Board
Views: 227 | Replies: 8
what teeth were being tested and she responded to them each time that cold was placed. There is negative pain to cold on all other teeth and negative pain when biting on all teeth except #9 and 10.People will sometimes feel cold near their gums and say that it is their teeth. It's not the RCT
November 15, 2019
Endodontics -- The ENDO Files
Message Board
Views: 541 | Replies: 7
13 y/o female pt. neglected by mom. aunty takes her to dentist for #19. after access, most of decay is subgingival and very difficult to access. visibility of decay and margins arealso an issue. extraction recommended and performed. since gum was not traumatised and decay
December 24, 2015
Endodontics -- The ENDO Files
Message Board
Views: 431 | Replies: 3
Hey any updates on this...Any decreased sensation to lip/chin/gums on that...Sorta reminds me of this case....
October 25, 2017
Endodontics -- The ENDO Files
Message Board
Views: 94 | Replies: 3
about bleeding from the gums of his lower incisors when brushing. Clinically his lower incisors are just slightly mobile. There is a palpable defect in the facial bone covering the roots of his lower incisors. There is a fistula located on the attached gingiva facially to his lower left incisor
June 18, 2019
Endodontics -- The ENDO Files
Message Board
Views: 214 | Replies: 8
checkups so I continued to monitor it. At the time, I should have thought more about the sealer behaving so odd mid-root, but was too preoccupied with the blown apex.Patient comes in today and I can overhear him talking about something on his gums in the upper right area. I'm thinking periapical
January 16, 2018
Endodontics -- The ENDO Files
Message Board
Views: 88 | Replies: 1
... i had a patient tell me that her friend was recommended to use this product to treat her gum issues and it worked .. So i dont know what this does anway
April 27, 2017
Endodontics -- The ENDO Files
Message Board
Views: 2242 | Replies: 61
to male dental assistant who did bad quality of Periapical x.ray.God will help me in dealing with this manager. I notice that there is leakage between tooth and composite.I remove composite and there is soft caries.I remove it. Endo still great as I think and appear from x.ray. But, bleeding from gum
January 21, 2018
Endodontics -- The ENDO Files
Message Board
Views: 653 | Replies: 29
place implants then. And proper posts as well though:) TOUCHE !! That's what I do, and I use Bisco DT light posts bonded in with Anchor by Apex. I got tired several years ago of seeing recently endo'd teeth come back in the pt's hand, fractured off at the gum line, and tired of the crown
March 03, 2017
Endodontics -- The ENDO Files
Message Board
Views: 180 | Replies: 2
hello. I'm talking about those moderate recession of gum, moderate cervical afraction lesion, moderate occlusal worn out crater, and such lesions that normally get resolved with filling and don't require RCT. I had pt who complains constant pain (even having hard time sleeping) pointing to #11. #11
December 19, 2016
Endodontics -- The ENDO Files
Message Board
Views: 370 | Replies: 4
often present with premolar crown broken at a gum line. Do you think this is one of the cases that will turn out to be like that? For example, this is one of the pt who had premolar crown broken at a gumline. This pt showed up just 1 hr prior to the case posted above. interesting~ :) Also
May 04, 2016
Endodontics -- The ENDO Files
Message Board
Views: 431 | Replies: 8
finished complete RCT last week but pt will come back this afternoon and left the msg that she went to ER for swelling gums. Now I am worried and confused whether the CaOH could cause any irritation to gum or tooth. If there is crackings, then I will send her to take CT scan and ext but would like
August 02, 2016
Endodontics -- The ENDO Files
Message Board
Views: 112 | Replies: 0
What is the radiolucent lesion in the middle of the root of #5? Is it external resorption or internal resorption of two roots, overlapping? Some hx: 53yo male. #5 causing him abcess which is draining into buccal gum. It has hx of trauma - car accident which caused it to shot up into his sinus. They eventuallypulled it down and used it as abutment for PUD. Tx plan for exo and add tooth on the partial.
February 17, 2015
Endodontics -- The ENDO Files
Message Board
Views: 40301 | Replies: 1216
it was much preferable to my normal technique, and only felt the first injection. Had proper palatal anaesthesia even though I had not touched it! I did not get the first molar numb. She had a lot of perio, and no attached gum this far posteriorly. I infiltatrated marcaine, but also had to do
March 07, 2016
Endodontics -- The ENDO Files
Message Board
Views: 9298 | Replies: 221
! A healthy young fire-fighter came in pretty swollen. The tooth's pulp chamber was full of pulp stone.. I removed the decay and cut an access into the pulp chamber pulp stone removeing part of the MO amalgam. I sguirted Fugi 9 into the tooth to replace the lost distal wall. I got to length
July 20, 2015
Endodontics -- The ENDO Files
Message Board
Views: 73 | Replies: 2
molar. I actually couldn't see the cavity at all from the buccal side. The gum tissue is not overgrown. nil gingival recession. Is it external resorption? Have you ever seen a similar case before? It sure looks likes resorption. I'm sure it's a typo but this doesn't look like the dentition of a 6 year old. At this point I would be thinking extraction and replacement options.AERR that's what that is.
October 19, 2019
Endodontics -- The ENDO Files
Message Board
Views: 331 | Replies: 7
to be fine, but if I press on the crown with my finger hard, the ptcomplainswiththe pain in the gum. Percussion - negative. Pressing on the tooth w/o the crown - no pain.Onlypressure on the tooth *when the crown is seated*. What would you guys do in the situation like this? This one is from 2015
February 16, 2017
Endodontics -- The ENDO Files
Message Board
Views: 62 | Replies: 1
This is a new patient. 40 yo female. Got in a car accident a month and a half ago where she hit her mouth. Said the gums were bleeding and the tooth hurt for a couple days but got better. Tooth has started to hurt when biting about 2 weeks ago and is progressing in intensity. Probing depths 3mm
September 12, 2016
Endodontics -- The ENDO Files
Message Board
Views: 693 | Replies: 16
Long history of dental procedures on this tooth, and this is our last effort at salvaging it....Patient came in with a gum bubble in 2012, PARL with a sinus tract present.Tracing the fistula.... off to the endodontist for a non-surgical retreatmentThe tooth was retreated and crowned, and was fine
March 07, 2016
Endodontics -- The ENDO Files
Message Board
Views: 337 | Replies: 7
A new patient reported to me today with the chief complaint of: The bump on my gum won't go away despite repeated appointments with my dentist. I took a film of #8 and saw what is apparently a CaOH dressing in a canal, no periapical lesion, and a sinus tract stoma on the tissue above the root
November 01, 2018
Endodontics -- The ENDO Files
Message Board
Views: 201 | Replies: 9
fragment to fall off when you start prepping. 4. Tissue looks inflamed/infected. Don't begin until it's healthy and she can and will keep it healthy. 5. Have you considered composite veneers instead of crowns? How old is she?Bizarre looking, do you think those are fractures? not just defects? Can't
June 29, 2017
Endodontics -- The ENDO Files
Message Board
Views: 155 | Replies: 2
Thoughts? NP. 33yo white female. Community clinic she was seen at for LOE said go see endodontist. Patient was having discomfort and swelling on the left side, but this coincided with whenshe says she fished out a popcorn kernel from her gums andhad a canker sore on her cheek. 19
May 03, 2018
Endodontics -- The ENDO Files
Message Board
Views: 484 | Replies: 5
lingual now.I think it looks a little long. His son was making fun of him.2 strands of 30lb fishing line bonded with a little flowable to #7, 8, and 9.The patient had enough calculas and perio that a fish may climb out of his gums and bite the fishing line. <br/><br/>This is my first
July 29, 2015
Endodontics -- The ENDO Files
Message Board
Views: 428 | Replies: 7
1)1) Patient presented with large class V restoration 1 1/2 years ago and tooth was hurting. It looked to me like some sort of resorption extending well below gum line. 2)2) I did RCT and it proceeded uneventfully. I told him he would need
July 09, 2014
Endodontics -- The ENDO Files
Message Board
Views: 178 | Replies: 2
Patient chief complaint is gums hurt , tooth doesn't bother him. 5 rootcanalcompleted in sept 2013, was cracked and there was like granulation tissue thru lingual portion of crown subg (almost like as a perf but I didn't do it) , anyway thought was restorable with root canal and crown and patient
January 22, 2014
Endodontics -- The ENDO Files
Message Board
Views: 174 | Replies: 5
swelling in the gums? I would ask these questions first. Still not a bad idea for endo consult, but I wouldn't do it solely based on the x-ray.2 questions...why are you crowning those teeth and why are you sending for endo...Good questions. I wonder about the same things. Just Endo Ice them. If vital
July 12, 2017
Endodontics -- The ENDO Files
Message Board
Views: 1345 | Replies: 22
the patient to take antibiotics, Clindamycin 300 mg qid x7d because of what the gums looked like, and told her that the x ray and my visual couldn't pin point a reason why this was happening. Perhaps it was post op trauma, an infection in the gums due to the anesthesia or the cords or the dam causing
August 07, 2016
Endodontics -- The ENDO Files
Message Board
Views: 78 | Replies: 3
Teenager presented with tender gums between lower canines and tenderness under chin and mandibular lymph R and L lymph nodes. Clinically noted class 2 mobility in lower right and left central incisors. Perio pockets 4mm or less in the area. Cold test on front teeth normal. Initial impression
January 11, 2021
Endodontics -- The ENDO Files
Message Board
Views: 308 | Replies: 4
small condensers amalgam will work fine as well. Be careful with opening this case as the orifice may not be easy to find through a crown on such a small tooth aka don't perforate!You are right about not perforating. I would like to place a post to prevent fracture at the gum line which I see often in crowned incisors (especially with a classic pfm chamfer). Just do the rct and skip the post. Ok thanks
December 06, 2016
Endodontics -- The ENDO Files
Message Board
Views: 631 | Replies: 4
deficit, that will be sorted when the referring GDP does the crown. Nice case Richard. I hope the referring dentist is able to restore this tooth without a referral to a periodontist for a gum shortening procedure. Keeping these things simple is best in my experience. Ed Great outcome and great effort Richard. In re treatments, have you ever reached a physical stop( blockages) before you reached the apex ? Just curious
December 15, 2015
Endodontics -- The ENDO Files
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